# KYBAES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619720257
- **Authorized official:** KIMBERLY HARRIS APRN (APRN)
- **Authorized official phone:** (561) 729-9359

## Contact information

- **Practice address:** 4805 PURDUE DR, BOYNTON BEACH, FL 33436-7721
- **Practice address phone:** (561) 729-9359
- **Mailing address:** PO BOX 3331, BOYNTON BEACH, FL 33424-3331
- **Mailing address phone:** (561) 729-9359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2024
- **Last updated:** 04/11/2024